I have severe nausea. I have taken Phenergan for many years and found it to be very effective. It was easy/cheap to get.
Now, the doctors are telling me that it has side effects and are refusing to prescribe it. I am given nothing or ineffective substitutes. Have started using an herbal remedy.
What do you say? Thanks, Vanessa.
We’re not aware of any NEW concerns with promethazine (Phenergan) to explain a significant change in prescribing. Like other drugs in its family (neuroleptic, phenothiazine) it has the potential to cause significant side effects, including tardive dyskinesia, sedation, and akathisia (the creepy-crawlies). Very rarely it can induce neuroleptic malignant syndrome (muscle stiffness, fever, blood pressure changes, and confusion). In general, it is not recommended for use in the elderly as this population is more susceptible to the adverse effects.
Herbal remedies have contraindications, interactions with other medications, and potential side effects just as prescription drugs do. “Natural” isn’t always safer.
For nausea, there are other medications available which work differently, and while they may have their own set of potential side effects, may be less concerning. Please talk to your provider for alternatives, including herbal remedies
Thank you for your question,
Dave Watson and Teri Robert
About Ask the Clinician:
Questions submitted to our Ask the Clinician column are answered by Dr. David Watson and Teri Robert.
If you have a question, please click** HERE. Accepted questions will be answered by publishing the answers in our column. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM**. Please do not submit questions via email, private message, or blog comments. Thank you.
|**_Please note: We cannot diagnose, suggest specific treatment, or handle emergencies via the Internet. Please do not ask us to diagnose; see your physician for diagnosis._** For an overview of how we can help and questions we can and can't answer, please see _**[Seeking Migraine and Headache Diagnoses and Medical Advice](http://www.healthcentral.com/migraine/c/9924/162100/migraine-headache-diagnosing)** _.|
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.
© David Watson and Teri Robert, 2016.
Dr. David Watson is a UCNS certified migraine and headache specialist and the director of the West Virginia University Headache Center. Dr. Watson takes a special interest in migraines, cluster headaches, and tension-type headaches. He strives to stay up-to-date on current research and treatments and regularly attends continuing medical education conferences. “Dr. Dave” is also very active in the migraine community, taking part in and leading advocacy efforts to benefit the entire community. He is the founder and chairman of the board of Runnin’ for Research, a nonprofit organization that helps interested patients and doctors set up races in their areas to raise research funding for headache disorders. He’s also a regular participant in the Alliance for Headache Disorders Advocacy’s “Headache on the Hill” event and is co-secretary of the American Headache and Migraine Association. You can follow Dr. Watson on Twitter.
Teri Robert is a leading patient educator and advocate in the area of migraine and other headache disorders, and has been writing for the HealthCentral migraine site since 2007. She is a co-founder of the Alliance for Headache Disorders Advocacy and the American Headache and Migraine Association. She received the National Headache Foundation’s Patient Partners Award for “ongoing patient education, support, and advocacy,” in 2004 and a Distinguished Service Award from the American Headache Society in 2013. You can find links to Teri’s work on her web site and blog and follow her on Facebook, Twitter, StumbleUpon, Pinterest, LinkedIn, and Google+.
Do you have questions about Migraine? Reader questions are answered by UCNS certified Migraine and headache specialist Dr. David Watson, and award-winning patient educator and advocate Teri Robert. Questions may be submitted via our submission form. Accepted questions will be answered by publishing the answers in our Ask the Clinician column. For an overview of how we can help and questions we can and can’t answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.